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The ultimate guide to photofacial aftercare: tips and best practices

The ultimate guide to photofacial aftercare: tips and best practices

Just had a BBL photofacial and wondering if that redness is normal? In most cases, it is. Here’s what to expect while your skin heals, from the first 48 hours to the day your results look their best.

Quick answer: Photofacial aftercare comes down to four things: stay out of the sun for two weeks, keep your hands off treated skin, stay hydrated and wait 24 hours before using retinol or exfoliants. Mild redness, swelling and darkened spots are normal and usually fade within one to two weeks on the face.

What is a photofacial?

At Skin Pharm, a photofacial means a BBL photofacial. BBL (BroadBand Light) is an in-clinic light treatment that targets acne, sun damage, redness and uneven tone. It’s performed by our board-certified providers and advanced practice providers, with little to no downtime. Results aren’t immediate: redness calms within a few days, and pigment improves over one to two weeks.

A BBL photofacial can help with:

  • Uneven skin tone
  • Fine lines and wrinkles
  • Acne scars and stretch marks
  • Sun damage and sun spots
  • Redness, rosacea and visible blood vessels
  • Active breakouts

What happens during a BBL photofacial?

Your provider applies a cooling gel to the treatment area and gives you protective eyewear, then uses the BBL device to deliver pulses of light to your skin. Most patients say it feels like a quick rubber band snap. A session takes about 30 minutes.

Who is a good candidate for a BBL photofacial?

BBL works best on Fitzpatrick skin types I-IV. Light energy can trigger hyperpigmentation in deeper skin tones, so for Fitzpatrick types V-VI, Skin Pharm recommends Moxi laser, microneedling, Gold Infusion or a chemical peel instead. BBL isn’t recommended for melasma, since heat can make it worse. If melasma is your main concern, ask your provider about a chemical peel, Gold Infusion, microneedling or PRP.

How should I prepare for a BBL photofacial?

A little prep helps your skin heal smoothly and keeps your results on track.

  • Book at least two weeks before any big event, since redness, swelling and darkened spots can show during that window.
  • Tell your provider if you’ve had cold sores. They may prescribe an antiviral.
  • Let your provider know about any active rash, since it can’t be treated until it clears.
  • With your provider’s guidance, stop photosensitizing medications like doxycycline or minocycline at least 72 hours before treatment.
  • Avoid Accutane for six months before treatment.
  • Skip tanning beds, sun tanning and self-tanner for at least two weeks beforehand.
  • Skip waxing for one week before treatment.
  • If you’re pregnant or breastfeeding, you’ll need OB-GYN clearance first.

What should I do after a BBL photofacial?

Most side effects, like redness, swelling and sensitivity, come from a temporary disruption to your skin barrier. These aftercare steps keep all three mild and short-lived:

  • Sleep on your back with your head slightly elevated for the first night or two to help with swelling.
  • Take an oral antihistamine if you need extra help with swelling.
  • Don’t pick, scratch or scrub treated skin.
  • Stay out of direct sun and skip tanning for two weeks. If you’ll be outside, wear a hat, long sleeves and broad-spectrum SPF 30+, and reapply every two hours.
  • Avoid saunas, strenuous exercise and hot tubs for 48 hours.
  • Drink plenty of water, since hydration helps your skin heal from the inside.
  • Go back to your regular skin care routine the same day, but wait 24 hours before using retinol or any chemical or physical exfoliant.

What’s normal while my skin heals?

A few healing signs can look surprising at first, but they mean the treatment is working.

  • Treated pigment turns darker, from brown to almost black, within 24-48 hours. It flakes off over one to two weeks on the face and 2-3 weeks on the body.
  • Treated blood vessels can look like a small bug bite for a day or two before fading.

What products should I use after a photofacial?

Your at-home routine supports your results while your skin heals. Your provider can recommend specific products, but Skin Pharm recommends these three, the same products your provider applies right after treatment:

You can also browse our full skin care lineup or ask your provider at your next visit.

How often can I get a BBL photofacial?

BBL works best as a series. For redness and pigment, Skin Pharm recommends 3-4 treatments spaced 4 weeks apart. For active acne, weekly or biweekly treatments over 6-12 weeks work best. After your series, seasonal or annual maintenance keeps your results going.

The right schedule depends on your skin type and goals, so your provider will build a plan around you. For more on timing, see how often you should get a facial.

Can you combine a photofacial with other treatments?

Yes, and combining treatments often gives you better results. BBL pairs well with many of our in-clinic treatments. Additionally, BBL can be combined with other skin treatments like Moxi, microneedling or Gold Infusion for treatment of tone and texture.

BBL and Botox is a popular combination for fine lines and wrinkles. BBL builds collagen and tightens skin gradually, while Botox softens expression lines, with full results in about two weeks.

Frequently asked questions about photofacial aftercare

  1. How long is downtime after a BBL photofacial?
    Downtime is little to none. Most people have mild redness and sensitivity for up to a day, similar to a light sunburn. Dark spots that get darker before flaking off are expected. You can go back to work and wear makeup right away.
  2. When will I see results from a BBL photofacial?
    Redness and visible blood vessels often look better within a few days. Treated pigment darkens and flakes off over one to two weeks, revealing brighter, more even skin underneath.
  3. Can I wear makeup after a BBL photofacial?
    Yes. You can wear makeup right away, including to cover any temporary redness.
  4. When can I use retinol after a photofacial?
    Wait 24 hours before using retinol or any chemical or physical exfoliant, or until skin has healed and dark spots have flaked off. You can use the rest of your regular skin care routine the same day.
  5. Is BBL safe for darker skin tones?
    BBL is best for Fitzpatrick skin types I-IV. For deeper skin tones, Skin Pharm recommends Moxi laser, microneedling, Gold Infusion or a chemical peel instead.
  6. Can I get a BBL photofacial while pregnant or breastfeeding?
    Yes, with OB-GYN clearance first.
  7. How long do BBL photofacial results last?
    Pigment results last as long as you protect your skin from the sun. New sun damage can show up over time, which is why Skin Pharm recommends seasonal maintenance treatments.

The bottom line

Good aftercare protects your results as much as the treatment itself. Stay out of the sun, keep your hands off your face and give your skin 24 hours before going back to retinol. Not sure where to start? Book a skin consult, and a board-certified provider will build a treatment plan and routine around your skin.

Peer review

Julia Franklyn, PA-C, is a board-certified physician assistant and the Director of Clinical Training at Skin Pharm. Follow her on Instagram.

Sources

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